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CITY MEDICAL OF NEW JERSEY PC NPI 1215488952


NPI Information

NPI: 1215488952
Provider Name: CITY MEDICAL OF NEW JERSEY, PC

Doing Business As: CITYMD URGENT CARE

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 31D2134373

Address:
904 BAYONNE CROSSING WAY
BAYONNE, NJ
ZIP 07002
Phone: (201) 354-1957
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CITY MEDICAL OF NEW JERSEY, PC is an urgent care clinic center in Bayonne, NJ. CITY MEDICAL OF NEW JERSEY, PC NPI is 1215488952. The provider is registered as an organization entity type.
The provider Is Doing Business As Citymd Urgent Care.

The provider's business location address is:

904 BAYONNE CROSSING WAY
BAYONNE, NJ
ZIP 07002-307
Phone: (201) 354-1957
Fax: (201) 354-1958

The provider's authorized official is Richard Park .
The authorized official title is Ceo and has the following contact phone number (516) 783-4600.

The CLIA number assigned to this NPI record is 31D2134373 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/18/2016 and was last updated on 9/26/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QU0200XClinic/CenterUrgent CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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